Effect of five-party linkage three-dimensional control mode on blood pressure control in patients with hypertension
QIN Pei
SHAO Lihui
OUYANG Shenyu
XU Zhihui
Abstract：Objective To investigate the effect of five-party linkage(hospital-community-partner-family-individual)three-dimensional control mode on disease management behaviors,self-efficacy and blood pressure(BP)control in patients with hypertension.Methods This study was a prospective randomized controlled study.The patients with essential hypertension(EH,n=168)were selected,and divided,using random digital table,into control group and intervention group(each n=84)in Department of Cardiovascular Medicine of Changsha Fourth Hospital from Jan.to Dec.2022.The control group was given routine treatment,and intervention group was additionally using the five-party linkage three-dimensional control mode.Disease management behaviors,self-efficacy,compliance behaviors,blood pressure variability(BPV)and BP control status were observed and compared in 2 groups after intervention for 3 ad 6 months.Results Before intervention,there were no statistically significant differences in disease management behaviors,scores of General Self-Efficacy Scale(GSES),BP,BP control rate,and BPV between 2 groups(P>0.05).At 3 and 6 months after intervention,the scores of disease management behaviors,GSES scores,and the rate of medication adherence in the intervention group were all higher than those in the control group(P<0.05).At 3 and 6 months after intervention,the systolic blood pressure(SBP),diastolic blood pressure(DBP),systolic blood pressure variability(SBPV)and diastolic blood pressure variability(DBPV)were all lower,while BP control rate was higher in intervention group than those in control group(P<0.05).At 6 months after intervention,the incidence of adverse events was lower in intervention group than that in control group(7.14%vs.25.00%,P<0.05).Conclusion Chronic hypertensive patients receiving the five-party linkage three-dimensional control model can develop healthy behaviors,enhance self-efficacy,improve treatment compliance and BP control rate,as well as reduce BPV and the incidence of adverse events.
Keywords：hypertensiondisease management behaviorsself-efficacyblood pressure control
Publication Date：2025-12-20
Online Publishing Date：2026-03-25(First online date of this platform, not the publication date of the document)
Pages：4( 1475-1478 )